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The Pelvic Girdle E-Book

The Pelvic Girdle E-Book

Diane G. Lee

(2011)

Abstract

Authored by Diane Lee with major contribution from Linda-Joy Lee The Pelvic Girdle continues to provide the busy clinician with the latest evidence and clinical tools/knowledge to immediately impact and enhance daily practice for the management of lumbopelvic-hip pain and disability. This fourth edition has changed fundamentally in presentation and content to provide the clinician with the evidence and clinical tools for effective practice. The new model presented in this edition - The Integrated Systems Model and the Clinical Puzzle - co-developed by Diane Lee & Linda-Joy Lee, facilitates effective clinical reasoning, hypothesis development and prescriptive treatment. It is highly unlikely that there will ever be enough research evidence to me the needs of a clinician who is faced with patients presenting with a wide and variable range of single and multiple impairments every day. Clinical expertise (knowing how to do the right thing at the right time) comes from disciplined, reflective practice and it is hoped that this text will help more clinicians become expert in this field.

  • Presents an evidence-based approach to the examination, diagnosis and treatment of the lumbopelvic region
  • Easy to read and clinican friendly
  • Demonstrates how clinicians can translate knowledge derived from scientific research into clinical practice and also use knowledge gained from clinical practice to evaluate the relevance of the scientific research
  • Highly illustrated descriptions of tests and techniques for practice
  • The author team - Diane Lee, Linda-Joy Lee and Andry Vleeming - all have international reputations as clinicians and researchers
  • Book now available in full colour online!
  • Website! Log on to www.thepelvicgirlde.com and use your unique PIN code from inside the book to unlock the following:
    • Over 240 tests and techniques video clips demonstrating the clinical application of TheIntegrated Systems Model
    • Full colour e-book
    • Further case studies
    • Historical perspectives and the evolution of myths

Table of Contents

Section Title Page Action Price
Front Cover Cover
The Pelvic Girdle: An Integration of Clinical Expertise and Research iii
Copyright Page iv
Contents v
Foreword vii
Preface, 4th Edition ix
Acknowledgments xi
Abbreviations xiii
1: Historical and contemporaryperspectives on the pelvic girdle 1
2: The evolution of myths and facts and the pelvic girdle 3
3: The structure of the lumbopelvic-hip complex 5
Evolution of the pelvic girdle11The evolution section of this chapter was written in collaboration with James Meadows MCPA MCS. 5
Comparative anatomy of the pelvic girdle 6
Embryology, development, and structure of the human pelvic girdle 8
4: The functional lumbopelvic-hip complex 47
Introduction - stability, what is it? 49
The integrated model of function revisited 52
The integrated biomechanics of the lumbopelvic-hip complex 85
Summary 89
5: The impaired lumbopelvic-hip complex 91
Introduction 91
The lumbar spine - form closure deficits 91
The pelvic girdle - form closure deficits 98
The hip/groin - form closure deficits 99
Summary 100
Pain, force closure, motor control, and the lumbopelvic-hip complex 100
Some common clinical presentations - lumbar spine 104
Some common clinical presentations - pelvic girdle 114
Some common clinical presentations - the hip 121
Emotional states 127
Summary 128
6: Pregnancy and its potential complications 129
Prevalence of pelvic girdle pain and urinary incontinence 129
The impact of pregnancy and delivery on the pelvis 130
Urinary continence and incontinence 139
Postpartum health for moms - restoring form and function after pregnancy 144
Summary 144
7: Clinical practice - the reality for clinicians 147
Knowledge - what every practitioner needs to know for clinical practice 147
Evidence-based practice - where did it come from? Where is it going? 148
Understanding pain - what do we need to know? 152
Classification and clinical prediction rules - are we searching for the Holy Grail? 158
It´s about more than pain - integrated systems for optimal health 163
The Integrated Systems Model for Disability and Pain - a framework for understanding the whole person and their problem... 165
Summary 171
8: Techniques and tools for assessing the lumbopelvic-hip complex 173
Introduction 173
Subjective examination: understanding the person in the middle of the puzzle 174
Objective examination: developing and testing hypotheses 175
Summary 254
9: Clinical reasoning, treatment planning, and case reports 255
Introduction 255
Lumbopelvic-hip pain and impairments - figuring out the Clinical Puzzle 258
Treatment principles for an integrated evidence-based program 260
Components of the treatment program 260
Case reports 270
Summary 282
10: Techniques and tools for addressing barriers in the lumbopelvic-hip complex 283
Introduction 283
Addressing barriers: characteristics of the person in the center of the Clinical Puzzle 285
Addressing barriers: physical impairments 285
Techniques for releasing the neural and myofascial systems 290
Techniques for mobilizing the articular system 312
Techniques for releasing the viscera 320
Active technique for correcting pelvic alignment 321
Summary 321
11: Tools and techniques for `waking up´ and coordinating the deep and superficial muscle systems 323
Introduction 323
Principles for training new strategies for function and performance 323
Role of supports: sacroiliac belts and taping 328
Finding the best position to start training the deep muscle system of the abdominal canister 329
'Waking up' and building the neural network for the deep muscle system of the abdominal canister 333
Finding the 'chord cue' - coactivation of the deep muscle system of the abdominal canister 353
Coordinating the deep and superficial muscle systems 355
'Waking up' and building the neural network for coordinating the deep and superficial muscle systems of the hip jo... 363
When to refer for prolotherapy 365
Summary - where are we at and what's left? 366
12: Training new strategies for posture and movement 367
Introduction 367
Advanced assessment 368
Tools and techniques to facilitate new strategies 379
Training strategies for static tasks 389
Training strategies for dynamic tasks - functional and sport-specific 396
Summary 405
References 409
Index 425
Colour Plate 435